Individual
DR. JOHN B BURGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
124 TOWER RD, CROWLEY, LA 70526-2211
(337) 788-1646
(337) 788-3902
Mailing address
124 TOWER RD, CROWLEY, LA 70526-2211
(337) 788-1646
(337) 788-3902
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2631
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1826316
—
LA
Enumeration date
02/23/2007
Last updated
07/08/2007
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